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October 3, 2025SA HeartOpen Access

Challenges with international normalised ratio control in paediatric patients with rheumatic heart valve replacement surgery in the Eastern Cape Province, South Africa

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Authors

ZMZM Makrexeni

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Overview

Analysis reports poor INR management in pediatric patients post valve replacement surgery, suggesting major healthcare access issues.

Key Points

  • Most patients struggled to maintain a therapeutic INR range postoperatively, resulting in complications.
  • Among 30 reviewed patients, 20 underwent mitral valve replacement, while 6 required additional surgery due to thrombosis.
  • Patients initiated on anticoagulation often faced difficulties due to inadequate healthcare accessibility and monitoring.
  • The study highlights persistent challenges in RHD management in the context of limited healthcare resources.

Cite This Study

ZM Makrexeni (2025) studied this question.

synapsesocial.com/papers/68e02f3cf0e39f13e7fa25f0https://doi.org/10.24170/22-03-7428
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